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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
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Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
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Implementing a Streamlined Radiology Workflow to Close the Loop on Incidental Imaging Findings in the Emergency

Tianyuan Fu1, Sheila Berlin2, Amit Gupta2

  • 1University Hospitals Cleveland Medical Center, Case Western Reserve University, 11100 Euclid Avenue, BSH 5056, Cleveland, OH, 44106, USA. tianyuan.fu@uhhospitals.org.

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Implementing a closed-loop system for actionable incidental findings (AIFs) in emergency departments improves patient care. This program ensures recommended follow-ups for unexpected AIFs, preventing potential harm and improving health outcomes.

Keywords:
Closed-loop communicationIncidental findingsQuality improvementRadiology informaticsRadiology reportingSystem workflow

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Area of Science:

  • Radiology
  • Health Informatics
  • Patient Safety

Background:

  • Actionable incidental findings (AIFs) are increasingly identified in emergency department (ED) imaging.
  • Failure to manage AIFs can lead to patient harm, increased costs, and litigation.
  • Effective tracking and follow-up of AIFs are challenging in large healthcare systems.

Purpose of the Study:

  • To describe the implementation of a closed-loop AIF program in the EDs of 11 hospitals.
  • To streamline the reporting and management of AIFs.
  • To improve patient outcomes by ensuring timely follow-up.

Main Methods:

  • Developed a streamlined workflow using system macros and standardized forms for radiologist reporting of AIFs.
  • Integrated reporting into dictation software for automatic email notifications.
  • Assigned a dedicated nurse navigator to coordinate patient follow-up, including imaging and clinic visits.

Main Results:

  • Processed 1207 AIF reports from July 2021 to May 2022.
  • Most AIFs were detected on CT scans.
  • Common AIFs included lung nodules, pancreas and liver lesions; at least 10 new cancers were detected.

Conclusions:

  • A closed-loop AIF program can effectively manage incidental findings in the ED.
  • Streamlined reporting and dedicated nurse navigation are key components of successful AIF management.
  • This program offers a model for other health systems to improve patient safety and outcomes.